一例因水蛭叮咬导致青春期前阴道出血的病例报告：病史非常重要。
A Case Report on Prepubertal Vaginal Bleeding due to Leech Bite: History Is Very Important.
作者信息
Rahman S M Tajdit, Shahriar Tasnim, Tarannum Adiba, Kasem Md Abul, Akter Tasnuva
机构信息
UHC, Baliadangi, Thakurgaon, Bangladesh.
National Institute of Diseases of the Chest & Hospital, Dhaka, Bangladesh.
出版信息
Case Rep Obstet Gynecol. 2021 Feb 23;2021:8896600. doi: 10.1155/2021/8896600. eCollection 2021.
Though prepubertal vaginal bleeding is rare, it can create a dilemma for both physicians and parents. Prepubertal vaginal bleeding due to leech bite is even rarer and very difficult to diagnose without proper history. We report a case of a six-year-old girl presenting with vaginal bleeding and ultimately diagnosed as a case of vaginal bleeding due to leech bite. We described how focused history helped us in diagnosis and management of such case in rural areas with limited healthcare resources. A detailed history with a high index of suspicion and a thorough examination is essential to diagnose leech bite in the vagina.
尽管青春期前阴道出血很少见，但它会给医生和家长带来两难困境。因水蛭叮咬导致的青春期前阴道出血更为罕见，若没有恰当的病史很难诊断。我们报告一例6岁女童出现阴道出血，最终被诊断为因水蛭叮咬导致的阴道出血。我们描述了在医疗资源有限的农村地区，重点病史如何帮助我们诊断和处理此类病例。详细的病史、高度的怀疑指数以及全面的检查对于诊断阴道水蛭叮咬至关重要。
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